CLIA lab
CLIA 21D1013784: DR Yared Tadesse Medical Clinic
Silver Spring, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1013784 belongs to DR Yared Tadesse Medical Clinic in Silver Spring, MD.
Certificate of Waiver, effective June 17, 2025, expires June 16, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 17, 2025
- Certificate expiration
- June 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 2003
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D1013784
- Lab name
- DR Yared Tadesse Medical Clinic
- Address
- 11120 New Hampshire Ave Ste 407, Silver Spring, MD 20904
- Phone
- (301) 681-3995
- Fax
- (301) 681-3803
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for DR Yared Tadesse Medical Clinic in Silver Spring?
21D1013784, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Yared Tadesse Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1013784 expire?
The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.